| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $970.54 | $970.54 | $1,164.65 | |
Aetna
| Professional | $115.89 | $970.54 | $1,005.44 | |
Anthem BCBS
| Professional | $700.20 | $700.20 | $1,021.20 | |
Cigna
| Professional | $750.60 | $750.60 | $750.60 | |
United
| Professional | $41.67 | $80.83 | $261.16 |